Individual
SHANETIKA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13761 BIG HAWK WAY, LITHIA, FL 33547-4384
(656) 204-8247
Mailing address
13761 BIG HAWK WAY, LITHIA, FL 33547-4384
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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